Behavioral Resources and Awareness for Veterans With Episodic Migraine: Impact on Neurological Disability and Quality of Life- Pilot

Behavioral Resources and Awareness for Veterans With Episodic Migraine: Impact on Neurological Disability and Quality of Life

The current study will evaluate effectiveness of cognitive behavioral therapy for migraine compared to migraine education (ME) to improve migraine-related quality of life in the real-world setting of the Veterans Health Administration (VHA).

This registration is for the Planning Phase Pilot Trial. The study team will aim to identify facilitators and barriers to effectiveness of CBTm in real-world settings and conduct a pilot study to demonstrate feasibility of study procedures and intervention delivery.

Inclusion Criteria:

• Physician diagnosis of migraine
• Fluent in English
• Capacity to consent
• Currently meets ICHD-3 migraine criteria
• Self-report 4-14 monthly headache days in past 28 days
• Score of at least moderate disability (≥ 10) on the MIDAS

Exclusion Criteria:

• Secondary headache only
• Currently meets criteria for a Trigeminal Autonomic Cephalalgia
• Self-report < 4 or >14 headache days in past 28 days
• Utilization of behavioral treatments for migraine or pain in the past 12 months
• Score of less than 10 on the MIDAS
• Reports active suicidal ideation (endorses Ideation items 3, 4 or 5, or any Suicidal Behavior items in the past 12 months
• Has a pending disability or service connection claim related to migraine or headache disorders